Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery

American Heart Journal

Volumn 156, Issue 5, 2008, Pages 900.e1-900.e8

  Haeffener, Mauren Porto ^a   Ferreira, Glória Menz ^b   Barreto, Sérgio Saldanha Menna ^c   Arena, Ross ^d   Dall'Ago, Pedro ^a,b,e  

^a FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

^b Mestrado em Avaliacao de Impactos Ambientais em Mineracao Victor Barreto   (Brazil)

^c HOSPITAL DE CLÍNICAS DE PORTO ALEGRE   (Brazil)

^d VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^e UNIVERSIDADE FEDERAL DE CIÊNCIAS DA SAÚDE DE PORTO ALEGRE   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AIRWAY PRESSURE; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; EXPIRATORY FLOW; FEMALE; FORCED EXPIRATORY VOLUME; HUMAN; LUNG FUNCTION; LUNG FUNCTION TEST; MALE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SPIROMETRY; THORAX RADIOGRAPHY;

EID: 54349125849     PISSN: 00028703     EISSN: 10976744     Source Type: Journal    
DOI: 10.1016/j.ahj.2008.08.006     Document Type: Article

References (27)

1. Myles P.S., and McIlroy D. Fast-track cardiac anesthesia: choice of anesthetic agents and techniques. Semin Cardiothorac Vasc Anesth 9 (2005) 5-16
2. Staton G.W., Williams W.H., Mahoney E.M., et al. Pulmonary outcomes of off-pump vs on-pump coronary artery bypass surgery in a randomized trial. Chest 127 (2005) 892-901
3. Goksin I., Baltalarli A., Sacar M., et al. Preservation of pleural integrity in patients undergoing coronary artery bypass grafting: effect on postoperative bleeding and respiratory function. Acta Cardiol 61 (2006) 89-94
4. Ng C.S., Wan S., Yim A.P., et al. Pulmonary dysfunction after cardiac surgery. Chest 121 (2002) 1269-1277
5. Scott B.H., Seifert F.C., Grimson R., et al. Octogenarians undergoing coronary artery bypass graft surgery: resource utilization, postoperative mortality, and morbidity. J Cardiothorac Vasc Anesth 19 (2005) 583-588
6. Ferguson M.K. Preoperative assessment of pulmonary risk. Chest 115 5 Suppl (1999) 58S-63S
7. Groeneveld A.J., Jansen E.K., and Verheij J. Mechanisms of pulmonary dysfunction after on-pump and off-pump cardiac surgery: a prospective cohort study. J Cardiothorac Surg 2 (2007) 11
8. Wynne R., and Botti M. Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice. Am J Crit Care 13 (2004) 384-393
9. Hulzebos E.H., Helders P.J., Favie N.J., et al. Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA 296 (2006) 1851-1857
10. Toumpoulis I.K., Anagnostopoulos C.E., Balaram S.K., et al. Assessment of independent predictors for long-term mortality between women and men after coronary artery bypass grafting: are women different from men?. J Thorac Cardiovasc Surg 131 (2006) 343-351
11. Overend T.J., Anderson C.M., Lucy S.D., et al. The effect of incentive spirometry on postoperative pulmonary complications: a systematic review. Chest 120 (2001) 971-978
12. Stiller K., Montarello J., Wallace M., et al. Efficacy of breathing and coughing exercises in the prevention of pulmonary complications after coronary artery surgery. Chest 105 (1994) 741-747
13. Jenkins S.C., Soutar S.A., Loukota J.M., et al. Physiotherapy after coronary artery surgery: are breathing exercises necessary?. Thorax 44 (1989) 634-639
14. Pasquina P., Tramer M.R., and Walder B. Prophylactic respiratory physiotherapy after cardiac surgery: systematic review. BMJ 327 (2003) 1379
15. Freitas E.R., Soares B.G., Cardoso J.R., et al. Incentive spirometry for preventing pulmonary complications after coronary artery bypass graft. Cochrane Database Syst Rev (2007) CD004466
16. Pasquina P., Merlani P., Granier J.M., et al. Continuous positive airway pressure versus noninvasive pressure support ventilation to treat atelectasis after cardiac surgery. Anesth Analg 99 (2004) 1001-1008
17. Westerdahl E., Lindmark B., Eriksson T., et al. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest 128 (2005) 3482-3488
18. Lung function testing: selection of reference values and interpretative strategies. American Thoracic Society. Am Rev Respir Dis 144 (1991) 1202-1218
19. Kristjansdottir A., Ragnarsdottir M., Hannesson P., et al. Chest wall motion and pulmonary function are more diminished following cardiac surgery when the internal mammary artery retractor is used. Scand Cardiovasc J 38 (2004) 369-374
20. Vassilakopoulos T., Mastora Z., and Katsaounou P. Contribution of pain to inspiratory muscle dysfunction after upper abdominal surgery. Am J Respir Crit Care Med 161 (2000) 1372-1375
21. Bonacchi M., Prifti E., Giunti G., et al. Respiratory dysfunction after coronary artery bypass grafting employing bilateral internal mammary arteries: the influence of intact pleura. Eur J Cardiothorac Surg 19 (2001) 827-833
22. Ragnarsdottir M., KristjAnsdottir A., Ingvarsdottir I., et al. Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy. Scand Cardiovasc J 38 (2004) 46-52
23. Westerdahl E., Lindmark B., Bryngelsson I., et al. Pulmonary function 4 months after coronary artery bypass graft surgery. Respir Med 97 (2003) 317-322
24. Kristjansdottir A., Ragnarsdottir M., Hannesson P., et al. Respiratory movements are altered three months and one year following cardiac surgery. Scand Cardiovasc J 38 (2004) 98-103
25. Redelmeier D.A., Bayoumi A.M., Goldstein R.S., et al. Interpreting small differences in functional status: the Six Minute Walk test in chronic lung disease patients. Am J Respir Crit Care Med 155 (1997) 1278-1282
26. Westerdahl E., Lindmark B., Almgren S.O., et al. Chest physiotherapy after coronary artery bypass graft surgery-a comparison of three different deep breathing techniques. J Rehabil Med 33 (2001) 79-84
27. Weiner P., Zeidan F., Zamir D., et al. Prophylactic inspiratory muscle training in patients undergoing coronary artery bypass graft. World J Surg 22 (1998) 427-431